Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Tennessee (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Saint Thomas River Park Hospital, LLC (NPI 1518346469)

Saint Thomas River Park Hospital, LLC is a general acute care hospital provider located in Mcminnville, Tennessee. This profile covers 0 Medicare and 91 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Saint Thomas River Park Hospital, LLC
Address	1559 Sparta St
City	Mcminnville
State	TN
ZIP	37110
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 26, 2015

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

91 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	24,790	$130	$3.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	20,290	$140	$2.9M
G0378	Hospital observation service, per hour	2,890	$220	$639.6K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3,330	$140	$472.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,210	$70	$156.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	3,760	$30	$127.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	12,600	$10	$126K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	3,810	$30	$125.8K
84484	The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…	9,800	$10	$68.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	15,740	$1	$63K

Showing 1–10 of 91

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

Claims Volume vs. Tennessee Distribution

Saint Thomas River Park Hospital, LLC — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

91 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	63	630	510	$120	$1.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	49	610	570	$110	$884.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	108	570	640	$100	$637.8K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	49	100	400	$60	$524.7K
G0378	Hospital observation service, per hour	15	100	410	$210	$264K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	109	240	840	$20	$259.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	59	180	480	$90	$245.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	26	120	3,760	$30	$225K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	68	210	400	$50	$157.2K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	34	50	540	$20	$152.7K

Showing 1–10 of 91

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sacred Heart Health System, Inc.	FL	General Acute Care Hospital	$0	$38.5M
Saint Thomas Rutherford Hospital	TN	General Acute Care Hospital	$0	$16.2M
Ascension Sacred Heart Emerald Coast	FL	General Acute Care Hospital	$0	$11.9M
St Vincents Ambulatory Care Inc	FL	Neurological Surgery Physician	$0	$10.4M
Saint Thomas West Hospital	TN	General Acute Care Hospital	$0	$7.1M
Saint Thomas Highlands Hospital, LLC	TN	General Acute Care Hospital	$0	$3.3M
The Surgery Center Of Jacksonville LLC	FL	Ambulatory Surgical Clinic/Center	$1M	$0
Saumil Oza	FL	Clinical Cardiac Electrophysiology Physician	$550K	$0
Anthony Magnano	FL	Clinical Cardiac Electrophysiology Physician	$436.2K	$0
Mariano Mikulic	FL	Cardiovascular Disease Physician	$391.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pioneer Pediatrics, PLLC	TN	Pediatrics Physician	$0	$6.3M
Warren County Ttee	TN	Land Ambulance	$731.3K	$1.8M
Bryan Chastain	TN	Family Medicine Physician	$302.3K	$0
Linda Foster	TN	Family Medicine Physician	$150.6K	$0
Graves Family Pharmacy	TN	Community/Retail Pharmacy	$149.7K	$0
Kimberly Tabor	TN	Family Medicine Physician	$144.9K	$130
Coe Mcgrath	TN	Medical Physician Assistant	$141.9K	$0
Susan Harlow	TN	Internal Medicine Physician	$119.6K	$700
Judy Cole	TN	Family Medicine Physician	$112.1K	$0
Ashley Thurman	TN	Nurse Practitioner	$97.4K	$7.9K

Saint Thomas River Park Hospital, LLC — Billing Profile & Reimbursement Data

Sign up for Saint Thomas River Park Hospital, LLC — Billing Profile & Reimbursement Data policy alerts

Saint Thomas River Park Hospital, LLC — Billing Profile & Reimbursement Data

Sign up for Saint Thomas River Park Hospital, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References